Preoperative α-blockade and slow sheath placement may reduce maximal ureteral access sheath insertion force. If the force exceeds 600 G, a smaller diameter sheath may be an alternative. Alternatively the procedure can be terminated and followed later by pre-stented retrograde intrarenal surgery.
This paper describes the finite element (FE)-based design of a slotted tubular permanent magnet actuator (TPMA) used in railway vehicle active lateral secondary suspension that improves the actuator's thrust and lowers its cogging force under thermal and geometric constraints. To consider the electromagnetic and thermal fields and the complex interactions among the design variables, design was carried out in an electromagnet and thermal field environment using accurate and time-effective FE analysis. A six-slot prototype model was fabricated to estimate critical thermal parameters, which are difficult to compute without experiments. Three-dimensional FE analysis using the determined thermal parameters was adopted to calculate the precise thermal distribution of the TPMA and verify the forced air-cooling effect. A prototype TPMA with a quasi-Halbach array of permanent magnets and a moving magnet was manufactured through the FE-based design process; the dynamic, electromagnetic, and thermal characteristics of the prototype TPMA were validated experimentally.
We reviewed the medical records of patients with acute retinal artery obstruction (RAO) and evaluated the importance of transthoracic echocardiography (TTE) and carotid Doppler ultrasound in determining causes of cardiac and carotid artery origin in RAO. A retrospective case study conducted in the Department of Ophthalmology, Inha University Hospital, Korea comprised 26 patients presenting with acute RAO who underwent systemic evaluation, TTE and carotid Doppler ultrasound between June 1, 1997 and December 31, 2003. Among these 26 patients, abnormal cardiac findings were detected in 12 (46%) and abnormal carotid findings in 4 (15%). Furthermore, other risk factors for RAO were found in 2 (8%) and stroke broke out within 7 months after experiencing RAO in 4 (15%) of the 26 patients. In patients with acute RAO, TTE and carotid Doppler ultrasound play an important role in pinpointing the origins of retinal emboli. It is thought that TTE and carotid Doppler ultrasound may be essential examinations for determining the underlying cause, planning treatment strategies, and preventing stroke and death.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.